njsonja 0 Posted May 25, 2012 had the surgery; now the dr. no longer takes my insurance (and frankly, i'm not thrilled with him); so, i'm looking for private insurance to cover the issues i'm having with my lapband (it has already once slipped and it twisted as well) and now, basically i need to find out if there is a leak in it or it slipped again as i am putting weight back on... the prices i am being quoted are like $600 per month....i can't do it...any other suggestions, options, advice? thanks, s Share this post Link to post Share on other sites
NWgirl 574 Posted May 25, 2012 The only other thing you could do is look for a Dr who is either willing to work out payment with you or go to Mexico. So, do you still have insurance and just can't find a Dr who accepts it? If so, I would call all band Dr's within an hour or two of me and try and find one. Share this post Link to post Share on other sites
njsonja 0 Posted May 25, 2012 the insurance i have is bc/bs but apparently i can't find a doctor who is willing to work with the kind that i have....so i have to find another....the dr. i had wanted to get paid more...so he switched.... Share this post Link to post Share on other sites
NWgirl 574 Posted May 25, 2012 Hmm, that's interesting. Have you tried to go on your insurance website and search for participating Dr's? Share this post Link to post Share on other sites
njsonja 0 Posted May 25, 2012 can you tell me how to search for a bariatric specialist? for sure, nobody is listed under that, and i would have to call hundreds of surgeons Share this post Link to post Share on other sites
cmoody821 44 Posted May 25, 2012 You should be able to contact you insurance directly and ask them to send you a list of doctors. Share this post Link to post Share on other sites
DeAna N 229 Posted May 25, 2012 I have anthem bcbs and it was listed under gastric & intestinal when I tried bariatric it wasn't listed buy I found the lapband under gastric & intestinal Share this post Link to post Share on other sites
NWgirl 574 Posted May 25, 2012 I also have Anthem and found it in the same place. If you can't seem to find it on the site, do call the customer service number. Share this post Link to post Share on other sites
cmoody821 44 Posted May 26, 2012 DeAna/NWgirl - What is yoru cost to fill the lapband. i have anthem BCBS as well. Im just curious. Share this post Link to post Share on other sites
NWgirl 574 Posted May 27, 2012 I met my out of pocket max for the year, so nothing for me. It looks like my surgeon charges $100 per fill, so if I had not satisfied my OOP I would assume it would be 20% of the bill... Share this post Link to post Share on other sites
DeAna N 229 Posted May 27, 2012 I will have met my total out of cost expense for the year so Anthem will pay 100% until Jan 2013 so I'm hoping be at my sweet spot by then(if I get banded this summer)so I wont have much out of pocket in 2013 Share this post Link to post Share on other sites
njsonja 0 Posted May 27, 2012 anthem...i just looked this up....which plan do you all use? they have about 12 that come up....so basically what i'm asking is how much is the amount per month that people pay for this coverage which includes bariatric...which is the best plan? Share this post Link to post Share on other sites